The Relationship of Venous Diameter to Reflux, Cephalad Thrombus and Cephalad Reflux Following Deep Venous Thrombosis

1997 ◽  
Vol 77 (03) ◽  
pp. 462-465 ◽  
Author(s):  
M J Tullis ◽  
M H Meissner ◽  
R O Bergelin ◽  
M T Caps ◽  
R A Manzo ◽  
...  

SummaryDuplex ultrasonography was used to measure the diameters of the common femoral, superficial femoral and popliteal vein segments in 123 patients following DVT. A cross sectional analysis was done based on the most recent visit to determine chronic venous diameter changes following DVT.Venous diameters in recanalized segments were smaller at all levels compared to those never occluded (p = 0.06 for CFV and p <0.05 for SFV and PV). After accounting for a previous history of occlusion, the diameters of the segments with and without reflux were not significantly different. There was also no evidence of venodilation in segments caudal to cephalad reflux or thrombus.Recanalized veins are smaller in diameter than those which were never thrombosed. Cephalad thrombus or reflux is not associated with venodilatation of caudal segments. Reflux following DVT is probably secondary to valvular damage rather than hypertension, since there was no diameter difference between refluxing and non-refluxing segments.

2020 ◽  
Vol 2020 ◽  
pp. 1-8
Author(s):  
Derya Uluduz ◽  
Sevki Sahin ◽  
Taskin Duman ◽  
Serefnur Ozturk ◽  
Vildan Yayla ◽  
...  

Background. Early diagnosis of cerebral venous sinus thrombosis (CVST) associated with reproductive health-related risk factors (RHRF) including pregnancy, puerperium, and oral contraceptive (OC) use can prevent severe neurological sequelae; thus, the symptoms must be documented in detail for each group. Methods. Out of 1144 patients with CVST, a total of 777 women were enrolled from a multicenter for the study of cerebral venous sinus thrombosis (VENOST). Demographic, biochemical, clinical, and radiological aspects were compared for 324 cases with RHRF and 453 cases without RHRF. Results. The mean age of the RHRF (-) group (43.2 ± 13 years) was significantly higher than of the RHRF (+) group (34±9 years). A previous history of deep venous thrombosis (3%), isolated cavernous sinus involvement (1%), cranial neuropathy (13%), comorbid malignancy (7%), and its disability scores after 12 months (9%) were significantly higher in the RHRF (-) group. The RHRF (+) group consisted of 44% cases of puerperium, 33% cases of OC users and 23% of pregnant women. The mean age was found to be higher in OC users (38±9 years). A previous history of deep venous thrombosis was slightly higher in the pregnancy subgroup (4%). Epileptic seizures were more common in the puerperium group (44%). Conclusion. The results of our study indicate that the risk of CSVT increases parallel to age, OC use, and puerperium period. In addition, when considering the frequency of findings and symptoms, epileptic seizures in the puerperium subgroup of the RHRF (+) group and malignancies in the RHRF (-) group may accompany the CSVT. In daily practice, predicting these risks for the CSVT and early recognition of the symptoms will provide significant benefits to patients.


2020 ◽  
Vol 7 (1) ◽  
pp. 32-38
Author(s):  
Alfi Noviyana ◽  
Purwati Purwati

The conditions of pregnancy can increase anxiety in women, therefore it can cause a negativeimpact on pregnant women themselves and on their fetuses. Anxiety is one of the risk factors ofthe incidence of pre-eclampsia in pregnant women. Pre-eclampsia is still the top three causes ofmaternal death in the field of obstetrics in Indonesia. The purpose of this study is to know andanalyze the relationship of anxiety with the incidence of pre-eclampsia in RSUD Dr. R. GoetengTarunadibrata Purbalingga. This research is a quantitative study, with case control design,sampling technique with an accidental sampling approach. Data collection using a standardquestionnaire from Hamilton. Analysis in quantitative studies using the X2 test (chi square) Theresults of this study that there is no statistical relationship between anxiety and the incidence ofpre-eclampsia with a value of ρ = 0.732 but clinically found that mothers with anxiety have a riskof 1, 26 times higher experience pre-eclampsia ( value of OR = 1.26). As for some externalvariables in this study that theoretically become a predisposing factor for pre-eclampsia includingage, previous history of pre-eclampsia or hypertension, hereditary history, history of hormonalfamily planning acceptors related to pre-eclampsia.


1981 ◽  
Author(s):  
J T Hartman ◽  
R P Yost ◽  
W W Robertson ◽  
H F Janssen

The present study is designed to evaluate the effectiveness of a thigh length sequential compression device (SCD) in the prevention of deep venous thrombosis (DVT) in patients undergoing hip operations (either fracture or elective). The night before the operation phleborheography, doppler ultrasound and, when possible, 125I fibrinogen scanning were used to evaluate venous flow in the patients’ legs. The patients identified as being free of DVT complications were then fitted with the compression sleeves. Following surgery the venous evaluation tests were repeated on alternate days to determine if DVT complications had developed. Evidence of DVT formation was identified in 10 of the 52 control patients (who received leg elevation only) and in 1 of the 52 treated patients (who received the SCD plus leg elevation). The chi square statistic demonstrates a significant difference between the two groups (P<.05).Data evaluation indicates that surgical approach and patient obesity did not contribute to the risk of DVT formation. However, patients who are either over the age of 66, females, or have suffered a hip fracture appear to be at greater risk than other groups. The amount of data in this study makes it difficult to evaluate with statistical significance the additional risk produced by other factors such as heart condition, previous history of clotting problems, estrogen therapy, etc.


2001 ◽  
Vol 25 (5) ◽  
pp. 179-183 ◽  
Author(s):  
Alcuin Wilkie ◽  
Neil Preston ◽  
Roger Wesby

Aims and MethodNeuroleptic medication is often used in excess of the BNF maximum. The purpose of this study was to examine the relationship of neuroleptic dose to patient, prescriber and environmental factors, by using a cross sectional ‘snapshot’ study of psychiatric in-patient prescriptions combined with a retrospective case note survey.ResultsIt was found that certain consultants prescribe higher doses of neuroleptics than others. Patients with a history of aggression had a nine and a half times higher chance of being prescribed higher doses of neuroleptics. Patients with a greater than 5-year history of neuroleptic prescription received higher doses.Clinical ImplicationsHigh neuroleptic prescription is related more to patients' past reputation and prescriber differences than to patients' current behaviour.


2014 ◽  
Vol 13 (4) ◽  
pp. 306-311 ◽  
Author(s):  
Fabio Henrique Rossi ◽  
Carlos Alexandre Rosa Gama ◽  
Igor Yoshio Imagawa Fonseca ◽  
Keilyanne Jaira Ferreira Barros ◽  
Thiago Osawa Rodrigues ◽  
...  

Objective:Iliocaval obstruction is associated with venous hypertension symptoms and may predispose to deep venous thrombosis (DVT). Ultrasonography may fail to achieve noninvasive diagnosis of these obstructions. The possibility of using Computed Tomography Venography (CTV) for these diagnoses is under investigation.Methods:Patients with CVI graded at CEAP clinical classes 3 to 6 and previous treatment failure underwent evaluation with CTV. Percentage obstruction was rated by two independent examiners. Obstruction prevalence and its associations with risk factors and CEAP classification were analyzed.Results:A total of 112 limbs were prospectively evaluated. Mean patient age was 55.8 years and 75.4% were women. Obstructions involved the left lower limb in 71.8% of cases and 35.8% of patients reported a medical history of deep venous thrombosis. Overall, 57.1% of imaging studies demonstrated venous obstruction of at least 50% and 10.7% showed obstruction of >80%. The only risk factor that was found to be independently associated with a significantly higher incidence of >50% venous obstruction was a medical history of DVT (p=0.035) (Fisher's exact test). There was a positive relationship between clinical classification (CEAP) and degree of venous obstruction in the limbs studied (Chi-square test for linear trend; p=0.011).Conclusion:Patients with advanced CVI are often affected by obstructions in the iliocaval venous territory and CTV is able to diagnose the degree of obstruction. There is a positive association between degree of obstruction and both previous history of DVT and severity of symptoms of CVI.


2015 ◽  
Vol 3 (3) ◽  
Author(s):  
Hesty R. Masela ◽  
Shirley Kawengian ◽  
Nelly Mayulu

Abstract: Infectious diseases are still major problems in many developing countries, including Indonesia. The effectiveness of exclusive breastfeeding is manifested in the reduction of specific disease incidences in infants who receive breast milk compared to formula -fed infants. This study used correlation method with a cross sectional design. Respondents were 90 women who had toddlers (aged less than 3 years) with histories of infectious disesases from September 2014 until Desember 2014. Data were obtained by using questionnaires. The results showed that there were as many as 23 toddlers (26%) with exclusive breastfeeding. History of infectious disease was found in 26 toddlers (28.9%). Regarding the relationship of exclusive breastfeeding with a history of infectious disease (α = 0.05) was found (p) = 0.001 and x2 = 11.883. There was a relationship between breastfeeding with a history of infectious disease in children aged less than 1-3 years in the Mopusi village, Lolayan Bolaang Mongondow Induk.Keywords: exclusive breastfeeding , history of infectious diseases , toddlers .Abstrak: Penyakit infeksi masih merupakan penyakit utama di banyak Negara berkembang, terutama Indonesia. Efektivitas ASI dalam mengendalikan infeksi dapat dibuktikan dengan berkurangnya kejadian beberapa penyakit spesifik pada bayi yang mendapat ASI di banding bayi yang mendapat susu formula. Penelitian ini bertujuan untuk mengetahui hubungan antara pemberian ASI ekslusif dengan riwayat penyakit infeksi pada batita di desa Mopusi kecamatan Lolayan kabupaten Bolaang Mongondow Induk. Penelitian ini menggunakan metode korelasi dengan pendekatan potong lintang. Responden ialah ibu yang memiliki batita dengan riwayat penyakit infeksi sebanyak 90 orang di desa Mopusi pada bulan September 2014-Desember 2014. Pengambilan data dengan menggunakan kuesioner. Hasil penelitian memperlihatkan sebanyak 23 batita (26%) mendapatkan ASI ekslusif. Riwayat penyakit infeksi ditemukan pada 26 batita (28,9%). Mengenai hubungan pemberian ASI ekslusif dengan riwayat penyakit infeksi (α = 0,05) didapatkan p = 0,001 dan x2 = 11,883. Simpulan: Terdapat hubungan antara pemberian ASI dan riwayat penyakit infeksi pada anak umur 1-3 tahun di desa Mopusi kecamatan Lolayan kabupaten Bolaang Mongondow Induk.Kata kunci: ASI ekslusif, riwayat penyakit infeksi, batita


2019 ◽  
Vol 4 (3) ◽  
pp. 583
Author(s):  
Henny Arwina Bangun ◽  
Donal Nababan ◽  
Eva Yuliana

<p><em>Kelelahan kerja menunjukkan kondisi yang berbeda–beda dari setiap individu,  semua bermuara kepada kehilangan efisiensi dan penurunan kapasitas tubuh serta peningkatan peluang untuk cidera di tempat kerja. Pemanen Sawit merupakan salah satu pekerja yang beresiko mengalami kelelahan, dimana pekerjaannya dilakukan secara manual, atau aktivitas kerja dengan pembebanan fisik. Kelelahan kerja dipengaruhi  oleh  faktor dari pekerja dan luar pekerja.Oleh karena itu perlu dilakukan penelitian mengenai hubungan  karakteristik  pekerja seperti umur, masa kerja, riwayat penyakit dan status gizi, serta beban kerja dengan tingkat kelelahan kerja pekerja. Tujuan  penelitian  untuk mengetahui hubungan karakteristik pekerja dan beban kerja dengan kelelahan kerja pada pemanen sawit di PT Bakrie Sumatera Plantations Tbk. Jenis penelitian analitik, pendekatan cross sectional. Sampel dengan metode total sampling yaitu sebanyak 64 responden. Hasil  penelitian  diperoleh  ada  hubungan  antara  umur  dengan  kelelahan  kerja (p=0.000),  ada  hubungan  antara  masa kerja dengan kelelahan kerja (p=0.001), ada hubungan  antara  riwayat  penyakit  dengan  kelelahan  kerja (p=0.001), ada  hubungan antara  status  gizi  dengan  kelelahan  kerja (p=0.001), dan  ada  hubungan  antara  beban kerja  dengan kelelahan kerja (p=0.017). Berdasarkan  hasil  penelitian  ini  disarankan  agar  perusahaan  melakukan  rotasi kerja  berdasarkan  kemampuan  fisik  dan  ketahanan  kerja  pemanen,  serta  memberikan safety  talk  untuk  melakukan  peregangan  tubuh  selama  10  menit.</em></p><p><em><br /></em></p><p><em>Fatigue shows the condition of each individual, all leading to loss of efficiency</em><em>,</em><em>a decrease in body capacity</em><em>, </em><em>an increased chance of injury at work. Palm harvesters are one of the workers at risk</em><em> </em><em>of experiencing</em><em> </em><em>fatigue,</em><em> </em><em>where work is done manually,work activities with physical loading.Work exhaustion is influenced by factors from workers and outside workers. Therefore, research needs to be done on the relationship of worker characteristics such as age, years of service, disease history and nutritional status, and workload with work fatigue levels. work with work fatigue on palm harvesters at PT Bakrie Sumatera Plantations Tbk.Type</em><em> </em><em>of analytic research, cross sectional approach. Samples with total sampling method were 64 respondents. The results showed that there was a relationship between age and work fatigue (p=0.000), there was a relationship between work period and work fatigue(p=0.001), there was a relationship between history of illness and work fatigue (p=0.001), there is a relationship between nutritional status and work fatigue</em><em> </em><em>(p=0.001),and there is</em><em> </em><em>a relationship betweenworkload and work fatigue (p=0.017).Based on the results of this study it is recommended that companies carry out work rotations based on physical abilities</em><em>, </em><em>work resilience of harvesters,</em><em>and</em><em>provide safety talk to stretch the body for 10 minutes</em><em>.</em><em></em></p><p><em><br /></em></p>


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